Organization · Type 2 NPI
Lytle Pediatric Dentistry, PLLC
Pediatric Dentistry · Lytle, TX
NPI number
1649607003
Active
Practice location
19315 Mcdonald St
Lytle, TX 78052-3622
Mailing address
PO Box 356
Lytle, TX 78052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 24255 (TX) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1649607003
Lytle Pediatric Dentistry, PLLC's National Provider Identifier is 1649607003, issued on Oct 1, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lytle, TX. The record was last updated on Feb 8, 2016.